Enteroscopic feeding tube placement with X-ray guidance

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

XR PLACE ENTEROCLYSIS TUBE

Payers reporting CPT 74355

Payer pricing summary

Low

Average

$464

Median

$284

High

$7.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +25 other terms	271	$360	$551	$581	105%	—	$1 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	250	$145	$245	$264	107%	—	$0 – $2.7k
3	UnitedHealthcare fee schedule · outpatient · +27 other terms	138	$228	$307	$477	155%	—	$1 – $3.3k
4	Humana fee schedule · outpatient · +21 other terms	126	$351	$482	$573	119%	—	$1 – $2.1k
5	Anthem fee schedule · outpatient · +17 other terms	93	$140	$164	$246	150%	—	$35 – $1.9k
6	Cigna fee schedule · outpatient · +23 other terms	63	$359	$844	$2.3k	268%	—	$53 – $11.1k
7	MultiPlan fee schedule · outpatient · +14 other terms	59	$823	$765	$631	82%	—	$51 – $2.8k
8	Molina fee schedule · outpatient · +22 other terms	45	$147	$219	$246	113%	—	$1 – $1.1k
9	WellCare fee schedule · both · +11 other terms	35	$72	$74	$46	62%	—	$28 – $182
10	Caresource fee schedule · outpatient · +11 other terms	29	$255	$247	$76	31%	—	$1 – $348
11	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$211	$236	$55	23%	—	$90 – $315
12	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	25	$81	$92	$46	51%	—	$31 – $227
13	Bcbs Tx fee schedule · outpatient · +3 other terms	24	$149	$144	$35	25%	—	$59 – $223
14	Phcs fee schedule · outpatient · +12 other terms	21	$783	$928	$405	44%	—	$428 – $1.9k
15	Regence professional · fee schedule · outpatient · +6 other terms	21	$36	$66	$74	112%	—	$36 – $332
16	Medica fee schedule · outpatient · +11 other terms	20	$355	$327	$180	55%	—	$34 – $859
17	Kaiser fee schedule · outpatient · +13 other terms	19	$822	$547	$489	89%	—	$105 – $2.1k
18	First Health fee schedule · outpatient · +10 other terms	17	$1.1k	$1.0k	$663	65%	—	$222 – $2.8k
19	Highmark fee schedule · outpatient · +8 other terms	15	$121	$126	$54	43%	—	$40 – $1.0k
20	Aetna Better Health fee schedule · outpatient · +10 other terms	14	$118	$110	$22	20%	—	$87 – $175
21	Medcost fee schedule · outpatient · +5 other terms	14	$635	$645	$93	14%	—	$404 – $818
22	Ambetter fee schedule · both · +11 other terms	13	$98	$39	$43	113%	—	$0 – $153
23	Bcbs Az facility · fee schedule · outpatient · +1 other terms	13	$114	$106	$22	21%	—	$38 – $134
24	Optum facility · case rate · outpatient · +11 other terms	13	$98	$110	$24	22%	—	$87 – $157
25	Wellmark fee schedule · both · +7 other terms	13	$143	$143	$72	50%	—	$34 – $305

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